ArticleHypertension (Dallas, Tex. : 1979)2022
Multiple Social Vulnerabilities to Health Disparities and Hypertension and Death in the REGARDS Study.
Article in Hypertension (Dallas, Tex. : 1979), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Within-Individual BOLD Signal Variability and its Implications for Task-Based Cognition: A Systematic Review.Neuropsychology review · 2024Pooled it
- Racial and Ethnic Minorities Underrepresented in Pain Management Guidelines for Total Joint Arthroplasty: A Meta-analysis.Clinical orthopaedics and related research · 2024Pooled it
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Impact of Health and Social Factors on the Cardiometabolic Risk in People with Food Insecurity: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Treatment Intensity, Prescribing Patterns, and Blood Pressure Control in Rural Black Patients with Uncontrolled Hypertension.Journal of racial and ethnic health disparities · 2023Trial
- Area deprivation, social vulnerability, and post-pregnancy blood pressure.medRxiv : the preprint server for health sciences · 2026Article
- Leading Causes of Death Among US Adults With and Without Hypertension: Data From the REGARDS Study.American journal of hypertension · 2025Article
- Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care.Journal of evaluation in clinical practice · 2025Article
- Article
- Association Between Greater Social Vulnerability and Delayed Glaucoma Surgery.American journal of ophthalmology · 2024Article
- Trends in prevalence of hypertension and high-normal blood pressure among US adults, 1999-2018.Scientific reports · 2024Article
- Lower social vulnerability is associated with a higher prevalence of social media-involved violent crimes in Prince George's County, Maryland, 2018-2023.Injury epidemiology · 2024Article
- Association of socioeconomic status with prognosis in hypertensive patients over age 65: a cohort study in the community setting.BMJ open · 2024Article
- Social Risk Profile and Cardiovascular-Kidney-Metabolic Syndrome in US Adults.Journal of the American Heart Association · 2024Article
- Religious minority status and risk of hypertension in women: Evidence from Bangladesh.Heliyon · 2024Article
- Social Determinants of Health and Incident Apparent Treatment-Resistant Hypertension Among White and Black US Adults: The REGARDS Study.Journal of the American Heart Association · 2024Article
- Disparities in Patient Portal Engagement Among Patients With Hypertension Treated in Primary Care.JAMA network open · 2024Article
- Association Between Young Adult Characteristics and Blood Pressure Trajectories.Journal of the American Heart Association · 2024Article
- Social determinants of health and cancer screening in China.The Lancet regional health. Western Pacific · 2024Article
- Social Determinants of Health and Cardiologist Involvement in the Care of Adults Hospitalized for Heart Failure.JAMA network open · 2023Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 2 countries.
Funding
Abstract
Social vulnerabilities increase the risk of developing hypertension and lower life expectancy, but the effect of an individual's overall vulnerability burden is unknown. Our objective was to determine the association of social vulnerability count and the risk of developing hypertension or dying over 10 years and whether these associations vary by race. We used the REGARDS study (Reasons for Geographic and Racial Differences in Stroke) and included participants without baseline hypertension. The primary exposure was the count of social vulnerabilities defined across economic, education, health and health care, neighborhood and built environment, and social and community context domains. Among 5425 participants of mean age 64±10 SD years of which 24% were Black participants, 1468 (31%) had 1 vulnerability and 717 (15%) had ≥2 vulnerabilities. Compared with participants without vulnerabilities, the adjusted relative risk ratio for developing hypertension was 1.16 (95% CI, 0.99-1.36) and 1.49 (95% CI, 1.20-1.85) for individuals with 1 and ≥2 vulnerabilities, respectively. The adjusted relative risk ratio for death was 1.55 (95% CI, 1.24-1.93) and 2.30 (95% CI, 1.75-3.04) for individuals with 1 and ≥2 vulnerabilities, respectively. A greater proportion of Black participants developed hypertension and died than did White participants (hypertension, 38% versus 31%; death, 25% versus 20%). The vulnerability count association was strongest in White participants (
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